The happy time of waiting for the birth of a baby can be overshadowed by troubles. Hemorrhoids during pregnancy are dangerous to a woman’s health, so inflammation of the hemorrhoids requires mandatory treatment. Why pathology occurs during this period, whether it is possible to prevent it and what methods there are for this are important questions for the expectant mother that require answers. They have to be dealt with.

What are hemorrhoids

The development of the disease causes the veins in the anus to overflow with blood. Stagnant processes in the vessels provoke their expansion, a change that ends with the appearance of cone-like formations - hemorrhoids. This is how they look in the photo. Everything is complicated by the occurrence of blood clots and bleeding. Unpleasant symptoms cause discomfort, especially during pregnancy. The development of hemorrhoids is influenced by:

• woman's age;
• number of births.

Hemorrhoids during pregnancy are not a mandatory disease. This is a diagnosis that occurs in men and women at different ages. The changes that occur in the body during pregnancy can push it to develop. Hemorrhoids can be avoided by taking preventive measures:

• eliminate constipation;
• move actively;
• Healthy food.

Outer

The appearance of nodes on the outside of the anus is characterized by prolonged pain and discomfort. A feeling of fullness, burning, and itching accompanies external hemorrhoids during pregnancy. In this type of disease the following is observed:

• development of vascular thrombosis;
• the appearance of blood during bowel movements;
• formation of tissue necrosis;
• the appearance of cracks with bleeding;
• swelling of the anus.

In the initial stage, hemorrhoids are treated by applying compresses, lubrication with creams, and ointments. When nodes prolapse during pregnancy, this is accompanied by severe pain, bleeding, and fever. In such a situation, the treatment procedure is facilitated due to easy access to the problem area. The method of getting rid of complications during pregnancy is the removal of nodes.

Interior

This form of the disease is characterized by the formation of hemorrhoids inside the body, at the exit of the anus. Hemorrhoids signal their appearance by blood on toilet paper. During pregnancy, a woman feels that there is a foreign body inside the anus. In this case, she experiences discomfort, the following arise:

• feeling of fullness;
• problems with bowel movements;
• burning;
• soreness;
• bleeding

As internal hemorrhoids progress during pregnancy, the nodes enlarge and narrow the rectum. This leads to problems:

• the movement of feces is disrupted;
• constipation occurs;
• accumulation of feces causes pain;
• irritation of the mucous membrane appears;
• bleeding occurs after defecation;
• discharge occurs in the form of drops or streams.

Causes of hemorrhoids during pregnancy

In the first months of pregnancy, a woman’s body begins to prepare the body for the process of pregnancy and childbirth. Progesterone is intensively produced, which helps relax smooth muscle cells. This helps the muscles adapt to the increasing size of the fetus during pregnancy. But the process has another side - at the same time relaxation occurs in the intestines. As a result:

• constipation occurs;
• hemorrhoids develop.

The disease occurs more often in later stages. Why do pregnant women develop hemorrhoids during this period? The following factors contribute to the problem:

• limited activity;
• pressure of the growing uterus on internal organs;
• pinching of venous vessels;
• blood stagnation;
• the appearance of constipation;
• exacerbation of gastrointestinal disease;
• eating disorders.

Symptoms

The development of the disease during pregnancy is conventionally divided into three periods, with their own symptoms. It is very important to recognize hemorrhoids and begin treatment early, which will help avoid complications during pregnancy. Features of the initial stage:

• pain during defecation;
• discomfort;
• slight bleeding;
• inflammation of the mucous membrane;
• blood in stool;
• appearance of nodes.

As the disease progresses, the symptoms become more pronounced and cause more discomfort. Doctors observe the following signs of hemorrhoids during pregnancy:

• Second stage. Appear: nagging pain; loss of nodes; severe burning sensation; discharge with blood, mucus. There is a feeling of incomplete emptying.
• Third stage. It is considered chronic, cannot be completely cured, and requires surgical removal. Causes complications: increased temperature; bleeding; thrombosis; unbearable pain.

What are the dangers of hemorrhoids during pregnancy?

Why is it important not to start the disease, but to start treatment by identifying the first signs? Hemorrhoids and pregnancy - what problems are possible in this combination? In addition to the feeling of discomfort, constipation and microcracks occur. Hemorrhoids can be caused during pregnancy by:

• development of inflammation in neighboring organs;
• accumulation of toxins during constipation that affect the fetus;
• anemia due to bleeding;
• infection of the fetus due to inflammation;
• pathologies of the genitourinary system;
• oxygen starvation due to anemia;
• childbirth problems.

In the early stages

The appearance of hemorrhoids in the first trimester is rare. When it occurs, there is no danger to the course of pregnancy and the development of the child. The threat is emerging complications - anal fistulas, thrombosis of nodes, purulent inflammation. With this development of events, hemorrhoids in early pregnancy can cause:

• the appearance of severe pain;
• temperature increase;
• development of sepsis;
• violation of the child’s cellular nutrition;
• circulatory disorder in the placenta;
• abortion.

In the later stages

As the fetus grows, the symptoms of hemorrhoids intensify, which can lead to unpleasant consequences. In the last trimester of pregnancy, dangerous processes may develop for the woman and fetus. It is possible:

• the appearance of necrosis;
• the occurrence of an infection that causes swelling of the perineum;
• decrease in hemoglobin, causing inhibition in the formation of the child.

Hemorrhoids in late pregnancy are dangerous due to complications of labor. Often this situation requires a cesarean section and long recovery after childbirth. As hemorrhoids progress, a woman’s suffering increases as a result of:

• increased severity of pain when passing through the birth canal;
• proliferation of the inflammatory process;
• pinching, rupture of nodes;
• increased bleeding;
• weakening of the body.

Hemorrhoids during pregnancy - what to do

A woman in such a situation should remain calm. You cannot self-medicate; only a doctor will provide qualified assistance. What to do for hemorrhoids in pregnant women? As the disease develops you will need:

• normalize stool;
• adjust nutrition;
• increase physical activity;
• carefully observe hygiene;
• do sitz baths with herbal infusions;
• use rectal suppositories;
• use creams and ointments externally;
• take tablets as prescribed by your doctor.

Nutrition

During pregnancy, a woman's taste preferences change, which leads to the abuse of unhealthy foods. No matter how much you want something salty or sour, if you have hemorrhoids, you should stick to a diet. Its main task is to regulate intestinal function and prevent constipation. The diet requires the presence of:

• products with fiber - vegetables, fruits;
• lean meat;
• fermented milk products;
• dried fruits;
• pearl barley, oatmeal.

The diet of pregnant women with hemorrhoids should be organized in such a way as to exclude foods that provoke the development of constipation, difficulty in passing food, and filling of the pelvic veins with blood. These include:

• high calorie dairy products;
• alcoholic drinks;
• hot, spicy food;
• baking;
• fat meat;
• canned food;
• marinades;
• garlic;
• pickles;
• black bread;
• legumes

Exercises

The tasks that gymnastics solves for pregnant women when hemorrhoids appear are reducing venous stagnation and improving intestinal function. It is important to increase the tone of the anus muscles. Do the exercises 5 times. In a standing position, feet wider than shoulder width:

• Raise your hands in front of you. Turn your body to the right, without lifting your feet, move your right arm back. Return and repeat on the other side.
• Clasp your hands in front of you in a lock. Rotate to the sides, moving your arms as far as possible.

Exercises for hemorrhoids for pregnant women in a lying position are recommended for the first two trimesters, performed 7 times:

• On your back, arms along your body. Bend your knees, pull them towards your stomach, straighten.
• On the right side. Bend your arm at the elbow and place your head on it. Pull the knee of your left leg towards your stomach and straighten it. Do the exercise on the other side.

Treatment of hemorrhoids during pregnancy

You can get rid of the manifestations of the disease during pregnancy only under the supervision of a doctor. It is very convenient that the location of hemorrhoids allows treatment without harm to the baby. With early diagnosis of hemorrhoids, ointments, creams, and suppositories are effective, which help during pregnancy:

• anesthetize;
• strengthen the walls of the veins;
• relieve inflammation;
• eliminate blood clots;
• dry;
• disinfect;
• stop the bleeding;
• constrict blood vessels.

How to treat hemorrhoids? When the disease develops, especially in late pregnancy, a medicine is prescribed during therapy - Detralex tablets. In severe situations, with severe bleeding, prolapse of nodes, surgical methods are indicated:

• sclerotherapy – management of substances that hold the walls of veins together;
• ligation - pinching a node with an instrument until it dies;
• infrared coagulation;
• laser cauterization.

Candles

One of the most effective methods for treating hemorrhoids during pregnancy is the use of rectal suppositories. Having a healing effect, they act locally without causing a negative effect on the fetus. Application should be as prescribed by a gynecologist - there are indications for using the product in certain trimesters. Popular drugs during pregnancy:

• Relief Advance – increases local immunity, heals cracks, relieves inflammation;
• Natalsid is an antiseptic, eliminates burning, reduces pain.

Suppositories for hemorrhoids for pregnant women differ in their effectiveness:

• methyluracil – stop bleeding, carry out cell regeneration, relieve pain;
• sea ​​buckthorn - heal quickly, sea buckthorn oil is a natural antibiotic;
• glycerin - effective at the initial stage during late pregnancy, heal wounds, have a laxative property;
• with propolis – reduce pain, destroy bacteria, viruses, restore microflora;
• ichthyols - relieve swelling, stop bleeding.
• with papaverine - eliminate spasms, normalize stool.

Ointment

If hemorrhoids are diagnosed in time, ointments are prescribed in the first trimester of pregnancy, which should be smeared on the anal area before going to bed. They differ in their action, so they require a doctor’s prescription, taking into account the symptoms of hemorrhoids. In medicine, it is practiced during pregnancy to fight the disease with the help of ointment:

• Witch hazel – tones veins, relieves inflammation;
• Proctosedyl - disinfects, anesthetizes, restores blood vessels.

It is safe and effective to use hemorrhoid ointment for pregnant women in the treatment of:

• Heparin - prevents thrombus formation, resolves blood clots;
• Ichthyol – disinfects, dries, improves blood circulation;
• Vishnevsky ointment – ​​accelerates regeneration, heals;
• Fleming's ointment - strengthens the walls of veins, dries, relieves pain;
• Levomekol – heals wounds, relieves inflammation.

How to treat with folk remedies

The use of natural products in treatment during pregnancy requires consultation with a doctor. Folk remedies for hemorrhoids at home are used in different forms. They make candles from raw potatoes and use cold lotions. For hygiene procedures, use a decoction of calendula. For sitz baths, make a herbal infusion:

• collect a mixture of equal parts of chamomile flowers, plantain leaves, nettles;
• put 5 spoons;
• pour boiling water – 2 liters;
• leave for two hours;
• strain;
• add water up to five liters.

Prevention

A woman planning a pregnancy needs to prepare so that she does not develop hemorrhoids while expecting a baby. A number of measures are recommended for this. Since one of the main causes of the disease is constipation, doctors advise:

• improve bowel function;
• follow a diet enriched with fiber;
• increase the tone of the anus muscles with special gymnastics.

Prevention of hemorrhoids during pregnancy includes the following measures:

• hygiene with cool water after defecation;
• physical therapy to eliminate venous stagnation;
• avoiding hypothermia;
• cold irrigation of the anus;
• limiting sedentary work;
• avoiding long walks;
• eliminating prolonged standing.

Video

Only a doctor can choose the most effective way to get rid of negative symptoms. The task of a pregnant woman is to monitor her health and carefully follow all medical recommendations. In the meantime, let's talk in more detail about external hemorrhoids in pregnant women.

Why do external hemorrhoids occur in pregnant women?

Hemorrhoids are divided into intraintestinal, located under the rectal mucosa, and external, located under the skin around the anus. It is the pathological increase in external formations that leads to the development of the external form of hemorrhoidal disease.

What is the source of the disease? First of all, we should mention the main factor predisposing to hemorrhoids - family history. When the venous walls are weak, which is caused by genetics, the disease occurs with the slightest influence of certain “provocateurs”.

Among the latter, experts include global changes that are triggered in the mother’s body from the moment the egg is fertilized. First of all, let us mention the hormonal shift, designed to increase the chances of maintaining pregnancy.

The action of hormones leads to a slowdown in the contraction of smooth muscles that line all internal organs, as well as the walls of blood tubules. As a result, venous tone and intestinal motility decrease, which is fraught with congestion in the pelvic area and constipation.

The following unfavorable conditions can provoke the development of hemorrhoidal disease:

• low fiber content in the diet, which leads to difficult stool ejection;
• second and subsequent pregnancy;
• passion for salted, smoked and other foods that cause blood flow to the pelvis;
• decreased physical activity;
• constant growth of the fetus, leading to displacement of internal organs, deterioration of the gastrointestinal tract, and compression of large blood vessels.

If external hemorrhoids are not treated, then an exacerbation of the disease during or after labor and the occurrence of serious negative consequences cannot be ruled out. All this will significantly complicate caring for the child.

A qualified proctologist talks about the peculiarities of its appearance and progression.

You can find out the reasons by carefully studying the article by our expert.

Symptoms of external hemorrhoids

External hemorrhoids during pregnancy are accompanied by the same symptoms as in other categories of patients. The leading sign of an increase in external hemorrhoids is pain in the anorectal area. They often accompany a visit to the restroom, but can also be spontaneous.

Pain syndrome also occurs when maintaining one position for a long time - when women sit or stand for a long time. The intensity of the discomfort depends on the individual characteristics of the body, that is, a pregnant woman may experience either ordinary discomfort or severe pain.

In addition, pregnant women may observe:

• irritation in the anal area;
• burning sensation;
• mucous discharge;
• getting wet underwear.

External hemorrhoids bleed less frequently than intraintestinal pathological formations. The patient may find traces of blood on her underwear, towel or toilet paper after bowel movements and hygiene measures.

Another difference in the external form of the disease is the ability to independently identify hemorrhoids during normal palpation of the anus. To the touch, they resemble elastic small knob-shaped structures, pressure on which leads to pain.

Acute and chronic hemorrhoids

It should be remembered that the severity of the above symptoms also depends on how aggravated the pathological process is. In general, there are traditionally two types of disease: acute and chronic. Moreover, these varieties can alternate.

Our specialist provides detailed information about it, its symptoms and possible complications in his article.

In the case of a chronic process, the symptoms are blurred, that is, the patient may feel discomfort in the anal area for a fairly long period of time, but not even realize that hemorrhoidal disease is developing.

Exacerbated external hemorrhoids (in the absence of timely treatment) successively go through 3 stages.

• 1st stage. Small nodes appear, which is accompanied by tissue irritation, burning, and inflammatory discharge. Soreness and other signs bother you after bowel movement, but subside after a while.
• 2nd stage. The area around the anus is inflamed and hyperemic, and the hemorrhoids are enlarged and swollen. When pressing on the abnormal formations, the patient feels severe pain.
• 3rd stage. The inflammatory process switches to the hypodermis and nearby areas. The nodules become bluish or purple. In especially severe cases, their necrosis is observed. The pain increases many times over.

If the expectant mother does not take care of her health and after such symptoms, the disease may be complicated by the appearance of fistulas and paraproctitis. All this is accompanied by infection, as a result of which toxins are able to penetrate the systemic bloodstream, and then through the placental barrier to the child.

If external hemorrhoids are accompanied by bleeding, the pregnant woman may experience anemia. Iron deficiency can ultimately provoke oxygen starvation, which is fraught with the most serious consequences for the child.

Drug treatment of hemorrhoids

The question of how and with what to treat hemorrhoids during pregnancy is decided by a physician after examining the expectant mother. In the vast majority of cases, a medicinal or conservative method of therapy is chosen, which also involves lifestyle adjustments.

Most often, specialists prescribe ointments, gels and creams to pregnant women, which have a local complex effect. The drugs are designed to eliminate pain, swelling, reduce inflammation and the intensity of bleeding.

We offer an overview of the most effective and at the same time gentle medications that are approved for use by expectant mothers after talking with a doctor. It is only important to carefully study the main contraindications and potential undesirable consequences.

It is also worthwhile to study the list of effective ones, their indications and contraindications for use.

Expectant mothers need to carefully study the material about all the nuances of using it for hemorrhoids during pregnancy.

You can find out how effective it is during pregnancy by reading the article by our specialist.

You can learn about the effectiveness and features of use from the material of a proctologist.

The most detailed information about the use of tablets is presented in the article by our expert.

	Inactivated microbial cells E.coli.
	The “neutralized” cellular elements and metabolites of E. coli included in the composition contribute to the increase in the resistance of perianal tissues to the effects of pathogenic infectious agents. Additionally, the ointment helps reduce inflammation, the volume of inflammatory exudate, optimize the condition of vascular walls, and accelerate the healing of affected areas by enhancing local immunity.
Indications	Expansion of hemorrhoids; anal itching; feeling of heat in the anus; eczematous lesions of the anorectal area; perianal dermatitis.
Contraindications
Adverse events	In exceptional cases, patients in an interesting position may experience redness of the skin, itching, and a feeling of heat at the site of application of the ointment.
	Standard regimen: the medication is applied up to 4 times to the subcutaneous hemorrhoid within 24 hours. A prerequisite is preliminary cleansing of the anus area.
Special Information	Phenol compounds used to neutralize microbial structures can cause an unexpected reaction in a pregnant patient. This fact should be taken into account.
Price	From 470 rubles.

Active ingredients of medicines	Inactivated microbial cells E.coli, hydrocortisone.
Positive effect on the body	“Dead” microbial cells, as noted above, can increase the resistance of the epithelium to the influence of pathogenic microflora and improve the condition of the local defense system. The hormonal substance hydrocortisone is responsible for reducing the intensity of inflammatory processes, which further reduces swelling, redness and the level of discomfort in the anal area.
Indications	Enlarged external hemorrhoids; ulcerative damage to the tissues of the anus; irritability of rectal tissues; hypertrophy of the papillae in the anus; inflammatory processes in the anus.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms.
Adverse events	The medication is well tolerated, but in some situations the occurrence of abnormal reactions to phenolic compounds should not be ruled out.
Features of therapy during the gestational period	The standard treatment regimen is as follows: an ointment is applied to the nodules up to 4 times daily. It is important to pre-clean the anorectal area to improve absorption of the healing agent.
Special Information	When using the medication, two nuances are important. First, do not use it if you are allergic to phenolic compounds. Secondly, the drug should not be combined with other hormonal medications.
Price	From 480 rubles.

Active ingredients of medicines	Heparin, benzocaine (anesthesin), benzyl nicotinate.
Positive effect on the body	If there is an increased risk of blood clots, anticoagulants are used, such as heparin. This ingredient reduces the likelihood of blood cells sticking together, prevents thrombosis, and improves local blood circulation. Anestesin, an anesthetic acting at the local level, is designed to relieve pain by blocking the transmission of nerve signals. Benzyl nicotinate is a chemical compound responsible for the expansion of capillaries or superficial venous channels. This improves the penetration of heparin into tissues.
Indications	thrombosed anal vessels; lymphagenitis; swelling of tissues; joint damage.
Contraindications	tendency to bleed; open wound surfaces; ulcerative skin lesions; tissue necrosis.
Adverse events	Expectant mothers may experience skin redness and rashes. Long-term use is fraught with low sensitivity of the epithelial layer.
Features of therapy during the gestational period	The ointment is applied to external hemorrhoids 2-3 times daily for 10-14 days. In particularly severe cases, it is possible to apply compresses with the drug to the areas.
Special Information	The possibility of use is determined by the attending physician after the balance of threats. However, it is important to remember that the parallel use of other anticoagulants enhances the anticoagulant effect.
Price	From 45 rubles.

Active ingredients of medicines	Heparin, prednisolone, lauromacrogol 600.
Positive effect on the body	The anticoagulant heparin has pronounced anticoagulant properties. This is expressed in preventing the formation of blood clots, improving local blood flow, and getting rid of inflammation. The hormonal component prednisolone, like other steroid substances, helps reduce the intensity of inflammation and allergic conditions, relieve swelling and discomfort. The venosclerosant lauromacrogol promotes the coagulation of proteins and the gluing of vascular membranes. As a result, the size of cavernous formations decreases.
Indications	Subcutaneous hemorrhoids; ulcerative damage to the tissues of the anus; thrombophlebitis; fistulas; eczematous lesions of the anus.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; signs of tuberculosis and syphilitic lesions; skin infection with viruses, fungi, bacteria; tumors of the anorectal area; tendency to bleed.
Adverse events	It is impossible to exclude the appearance of red spots, allergic conditions (rashes, tissue irritation), as well as reactions caused by the presence of the steroid component.
Features of therapy during the gestational period	Frequency of application – up to 4 times daily. The length of the therapeutic regimen is determined on an individual basis. It is imperative to clean the anorectal area.
Special Information	If reasonable dosages are exceeded, slow recovery of the epithelial layer may be observed.
Price	From 165 rubles.

Active ingredients of medicines	Ichthammol.
Positive effect on the body	Ichthyol is a chemical obtained by distilling sulfur shales containing the remains of fossil fish. This substance relieves pain, disinfects, fights inflammation and suppuration, and dries tissues. Another useful property is the optimization of local microcirculation. This is expressed in accelerating regeneration and restoration of damaged areas.
Indications	External hemorrhoids, accompanied by infection, suppuration, and inflammatory processes; burn lesions; boils; carbunculosis; eczema; ulcerative damage to the tissues of the anus; erysipelas, etc.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms.
Adverse events	Expectant mothers in the process of treating hemorrhoidal disease may encounter redness of the dermis, rash, and discomfort.
Features of therapy during the gestational period	For 2 weeks, it is necessary to lubricate the external nodules with ointment in the evening. The next morning you need to remove the excess drug using a cloth.
Special Information	The official documentation for the drug warns patients against combining the use of ointment with iodine and plant alkaloids.
Price	From 110 rubles.

Active ingredients of medicines	Phenylephrine, oil extract from shark liver.
Positive effect on the body	An oily substance, which is extracted from the liver of a marine predator, has a complex effect on the condition of the perianal area. The healing of the epithelium is accelerated, bleeding stops, and local immunity is stimulated. The second component belongs to the category of vasoconstrictor medications. Reducing the flow of capillary and venous channels allows you to reduce swelling, stop inflammation and reduce the size of hemorrhoids.
Indications	Externally localized hemorrhoids; ulcerative damage to the tissues of the anus; anal itching.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; thromboembolism; decreased content of granulocytes in the blood.
Adverse events	Susceptible patients experience redness of the skin, rash, and irritability of tissue in the anal canal area.
Features of therapy during the gestational period	The ointment is applied to the corresponding areas up to 4 times over 24 hours. Before application, the anorectal area should be cleansed.
Special Information	The phenylephrine contained in the medication can reduce the positive effect of medications that are aimed at combating high blood pressure.
Price	From 380 rubles.

Active ingredients of medicines	Benzocaine (anesthetic), an oily extract from shark liver.
Positive effect on the body	An oily product extracted from the liver of predatory fish has the ability to stop bleeding, relieve inflammation, increase local immunity and speed up the healing of wound surfaces. Anesthesin, which belongs to the class of local analgesics, produces pain relief in affected tissues due to its ability to stop the transmission of nerve signals.
Indications	Externally located hemorrhoids; ulcerative damage to the tissues of the anus; erosion of the skin of the anus; anesthesia for examination of the rectum or surgery on the lower intestine.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; thromboembolism; decreased number of granulocytes.
Adverse events	Patients susceptible to the components of the drug may experience various undesirable effects, for example, redness of the skin, irritability of the rectal tissues.
Features of therapy during the gestational period	The medication is applied to certain areas up to 4 times daily. The length of the therapeutic course is determined by the attending doctor.
Special Information	Excessive doses are fraught with the formation of blood clots and increased blood clotting. This effect is due to the presence of shark liver oil in the preparation.
Price	From 420 rubles.

Active ingredients of medicines	Tribenoside, lidocaine.
Positive effect on the body	Tribenoside, a venotonic drug, directly affects the condition of blood vessels. They increase the tonic status of the veins, strengthen the walls of blood tubules, reduce their permeability, and improve local blood circulation in the anorectal area. The locally functioning anesthetic drug lidocaine blocks the transmission of nerve signals from damaged areas, which is reflected in a decrease in the intensity of pain.
Indications	intraintestinal type of varicose anal vessels.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; liver failure.
Adverse events	It is impossible to completely exclude hyperemia of the epithelium, the occurrence of a rash, and irritability of tissues in the anorectal area. Heart rhythm disturbances and anaphylaxis are extremely rare.
Features of therapy during the gestational period	External hemorrhoids should be treated with cream according to the following scheme: the product is applied twice a day. The length of the course of therapy is determined individually, depending on the intensity of negative symptoms.
Special Information	If the clinical picture of hemorrhoidal disease persists or any negative effects occur, you should consult a specialist.
Price	From 360 rubles.

Active ingredients of medicines	Pearls, amber component, borneol, musk, artificial bezoar, zinc carbonate.
Positive effect on the body	The zinc ingredient disinfects the epithelium of damaged areas, dries wet areas, and forms a special coating on the surface of the dermis that prevents the penetration of pathogenic agents. Bezoar reduces the intensity of inflammatory processes, activates the immune system, and relieves pain. Borneol is responsible for the destruction of pathogenic bacterial cells. Artificial pearls help speed up recovery processes, additionally reduce pain, and prevent the formation of blood clots in blood vessels. The amber component belongs to the category of antiseptics and also accelerates regeneration. Musk is an anti-inflammatory substance.
Indications	Externally located hemorrhoidal structures; ulcerative damage to the tissues of the anus; eczematous lesions of the tissues of the anorectal area.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms.
Adverse events	In some situations, a variety of allergic conditions occur, such as redness, swelling, rash, and irritability of the rectal tissues.
Features of therapy during the gestational period	The medication should be applied to external hemorrhoids up to 4 times daily. The duration of therapy is determined individually.
Special Information	If the clinical picture of anorectal varicose veins persists or any negative phenomena occur, it is necessary to consult a specialist.
Price	From 370 rubles.

Active ingredients of medicines	Birch tar, xeroform, castor bean oil.
Positive effect on the body	Xeroform, which belongs to the class of bismuth salts, has antiseptic properties, affecting pathogenic microorganisms. Additionally, the drug dries out the skin. The product of birch bark distillation is actively used in medicine to improve local blood flow. Stimulation of blood circulation in the affected areas leads to activation of recovery processes. Castor oil, obtained from castor bean fruits, softens the skin, stimulates regeneration, wound healing, and restoration processes in the anorectal area.
Indications	External hemorrhoidal disease; dermatological diseases of various origins; bedsores; eczema; lymphadenitis; burns; wound surfaces; ulcers on the skin; boils, etc.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; liver diseases.
Adverse events	Patients with intolerance to any ointment ingredients may experience allergic manifestations - rashes, swelling, red spots on the skin.
Features of therapy during the gestational period	Soak the compress in the ointment and apply it to the external hemorrhoids. The frequency of the procedure is up to 3 times within 24 hours.
Special Information	Birch tar increases a person's sensitivity to solar radiation. Therefore, in summer you need to use this medicine with caution.
Price	From 40 rubles.

Active ingredients of medicines	Troxerutin.
Positive effect on the body	The active ingredient is a natural flavonoid, venotonic with vascular protective properties. It helps reduce the permeability and fragility of capillary tubules, increase venous tone, and improve local blood circulation. By increasing the density of capillary and venous membranes, the drug reduces the release of inflammatory exudate. This is expressed, among other things, in the cessation of weeping.
Indications	External localization of hemorrhoidal formations; lymphovenous insufficiency; varicose veins of the legs; thrombophlebitis; pain and swelling of soft tissues due to bruises.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; ulceration of the skin at the site of application of the drug.
Adverse events	Very rarely, hypersensitivity reactions in the form of dermatological problems, eczematous lesions, and allergic manifestations can be observed.
Features of therapy during the gestational period	The medication is traditionally applied to the required areas 2 times a day. Before the procedures, you should clean the skin.
Special Information	The gel should be applied exclusively to skin without wound surfaces, ulcers or scratches. You also need to ensure that the drug does not get on the mucous membrane of the rectal canal.
Price	From 170 rubles.

Active ingredients of medicines	Levomycetin, methyluracil.
Positive effect on the body	The antibacterial effect of the drug is due to chloramphenicol, which destroys many pathogenic microbial cells, including staphylococci and Pseudomonas aeruginosa. Methyluracil is responsible for regeneration, activating the formation of new cellular structures and the regeneration of damaged areas. This ingredient also stimulates local immunity, increasing the release of interferon. The drug is used exclusively externally and is intended to disinfect and accelerate the healing of tissues that are susceptible to inflammation or suppuration.
Indications	Treatment of hemorrhoids, which are complicated by a purulent process, infection, inflammation; purulent wounds; burn lesions; boils; carbuncles; trophic ulcers, etc.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms.
Adverse events	The medication is characterized by weak reactivity, so it very rarely leads to the development of undesirable consequences. Some patients may experience rashes and redness of the skin.
Features of therapy during the gestational period	As a standard, fabric is soaked in ointment and applied to the required areas of the skin. Frequency of application – up to 3 times within 24 hours.
Special Information	The drug belongs to the category of antibiotics, so independent use is extremely undesirable, especially during pregnancy.
Price	From 110 rubles.

Active ingredients of medicines	Calendula, witch hazel, chestnut fruit extract, menthol, zinc.
Positive effect on the body	Witch hazel and chestnut fruit extract belong to the class of venotonic drugs that increase the tone of the veins and optimize local blood circulation. Calendula extract has pronounced antiseptic and anti-inflammatory properties, which is reflected in the destruction of pathogenic flora and a decrease in the volume of inflammatory exudate. Menthol has pronounced cooling properties, which can reduce pain and discomfort. Zinc compounds disinfect the affected areas and also create a kind of protective cover on the epithelial layer that prevents infection by bacteria.
Indications	Externally localized hemorrhoids; allergic dermatitis; vasomotor runny nose.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms.
Adverse events	Hypersensitive patients may experience various negative reactions to the ingredients contained in the ointment. Usually these are rashes, redness of the skin, etc.
Features of therapy during the gestational period	The ointment is applied to the appropriate areas up to 3 times daily over a weekly time interval. Repeating treatment measures is possible after consultation with a proctologist.
Special Information	The drug is safe for women, but prescribing it independently is highly undesirable. You should definitely consult a specialist.
Price	From 260 rubles.

Active ingredients of medicines	Diosmin, hesperidin.
Positive effect on the body	The combination of natural flavonoids - substances with venotonic properties - helps to increase the tone of the venous channels, strengthen the vascular membranes, and reduce the permeability of capillary tubules. The complex effect on the body is manifested in optimizing the entire blood flow, eliminating blood stagnation, reducing the symptoms of venous insufficiency and hemorrhoidal disease.
Indications	All forms of enlargement and deformation of anorectal vessels; venous-lymphatic insufficiency, expressed by cramps, pain in the legs; trophic ulcers.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms.
Adverse events	Dyspepsia; diarrhea; weakness; dizziness; skin rash; swelling; tissue irritation.
Features of therapy during the gestational period	It is possible to cure hemorrhoids by taking several courses. In this case, the doctor prescribes a certain dosage and duration of therapy to the patient. Typically take 6 tablets, after 4 days the number of capsules is reduced to 4.
Special Information	Combination treatment is required, that is, the simultaneous use of tablets and ointment preparations. In this case, the symptoms of hemorrhoids will disappear much faster.
Price	From 640 rubles.

Active ingredients of medicines	Diosmin, hesperidin.
Positive effect on the body	A set of natural bioflavonoids is an excellent venotonic drug. The main feature of the drug is to increase venous tone and optimize the permeability of blood tubules. The result of treatment is the disappearance of congestion, optimization of systemic blood flow, reduction of inflammatory processes and reduction in the size of hemorrhoidal formations.
Indications	Hemorrhoidal disease (external and intraintestinal forms); venous-lymphatic insufficiency, which is accompanied by pain and leg cramps; impaired tissue nutrition; trophic ulcers.
Contraindications	Too strong and negative reaction of the body’s defense system to any component of the drug, expressed in allergic and other symptoms; breast-feeding.
Adverse events	Migraine; dizziness; convulsions; dyspepsia; diarrhea; rash; redness of the skin, etc.
Features of therapy during the gestational period	Venarus treatment of external hemorrhoids during pregnancy depends on the severity of the clinical picture. If the illness worsens, you need to take 6 capsules daily, after 4 days the dose is reduced to 4 tablets.
Special Information	The medication should be taken together with the use of topical medications - antihemorrhoidal ointments and creams.
Price	From 490 rubles.

Surgical treatment of external hemorrhoids during pregnancy

If there are no positive effects from the use of medications, if the disease progresses and there is a threat of developing any complications, the attending physician may prescribe one of the methods of surgical intervention.

During pregnancy, minimally invasive (gentle) procedures are used that involve minimal impact on the body. However, even despite the fact that general anesthesia is not used, such surgical methods are extremely rarely prescribed.

The external localization of hemorrhoidal structures significantly limits the possibility of using minimally invasive techniques, since not all procedures are applicable in this case. Most often, specialists prescribe the following types of interventions:

• photo and laser coagulation. Exposure to radiation of varying intensities leads to the folding of protein structures contained in blood tubules. As a result, cavernous formations cannot receive recharge from arteries and capillaries;
• cryodestruction. Ultra-low temperature conditions lead to freezing of hemorrhoids, as a result of which the tissues die and fall off. During the intervention, pain, bleeding and scar formation are eliminated.

It should be remembered that minimally invasive techniques cannot be used during exacerbation of the disease. In addition, various complications (paraproctitis, thrombosis, etc.) may serve as a contraindication to such procedures.

But radical surgical interventions (hemorrhoidectomy) are not prescribed during pregnancy. This is understandable, since such operations are performed under general anesthesia, which can negatively affect the development of the fetus.

The importance of proper diet

A carefully selected diet is one of the important nuances of complex therapy for hemorrhoidal disease. If you do not pay due attention to this aspect, the clinical picture will certainly return after some time with renewed vigor.

That is why it is necessary to remember the rules of nutrition for varicose anal veins.

1. Small meals are recommended to avoid constipation. Experts advise eating up to 6 times a day in small portions.
2. If you are prone to constipation, you need to increase the amount of cereals, fruits and vegetables that contain natural dietary fiber. The best varieties of cereals are buckwheat, pearl barley; the healthiest vegetables are beets, cucumbers, carrots.
3. Another option to combat constipation is to use bran from oats, rye and wheat. The daily volume of this product is approximately 60 grams. They are included in soups or porridge.
4. Meat products are allowed, but fatty meats must be avoided. The ideal option is boiled chicken, beef, veal, rabbit, etc.
5. You should also increase the amount of fermented milk products - low-fat kefir, cottage cheese, fermented baked milk. Kefir drink improves the functioning of the gastrointestinal tract.
6. To “turn on” the digestive tract, you need to drink a glass of boiled water for breakfast every day, and drink more clean water throughout the day.
7. It is necessary to give up harmful foods - strong tea drinks, fresh baked goods, fried foods, soda. They lead to flatulence and impair intestinal motility.

In parallel with optimizing your diet, you should increase (if possible) physical activity. A woman, in agreement with the doctor, can do certain exercises, exercises, swimming, etc.

As a conclusion

External hemorrhoids during pregnancy require complex treatment. That is, a pregnant woman needs not only to take medications, but also to review her diet and optimize physical activity.

The question of how and how to treat hemorrhoids during gestation should be addressed to a specialist. It is he who will select the safest and most effective drugs (ointments and tablets), establish the exact dosage and duration of the therapeutic course.

Watch a video about treating hemorrhoids during pregnancy.

Hemorrhoids often occur during pregnancy and after childbirth. The causes of the disease are anatomical changes in the woman’s body and a number of other factors. Let's look at why hemorrhoids occur in pregnant women, methods of treatment and prevention.

Causes of hemorrhoids in pregnant women

Pregnant women are at risk of developing hemorrhoids, since they have a very high likelihood of developing this unpleasant disease. And this happens so often that many people believe that there can be no pregnancy without hemorrhoids. Typically, hemorrhoids begin to make themselves felt in the second half of pregnancy, from 20-24 weeks.

Factors contributing to the appearance of hemorrhoids:

• Changing food preferences, eating food “for two.” During this period, you should eat only natural foods rich in minerals, vitamins and fiber. It is fiber that promotes normal bowel function, preventing constipation.
• Rapid growth and weight gain by the child, an increase in the size of the uterus, which begins to compress the organs located in the pelvis. The rectum is pressed against the pelvis and spinal column, intestinal activity is disrupted, which leads to constipation and the formation of hemorrhoids.
• Blood vessels also experience pressure from the uterus and accumulated feces, which impedes venous outflow and contributes to varicose veins.
• Hemorrhoids in pregnant women can be complicated by the formation of blood clots, which can lead to...
• Decreased physical activity, sedentary lifestyle, which contributes to the occurrence of venous insufficiency. Prolonged sitting negatively affects muscle-ligamentous support, thereby contributing to the loss of nodes.
• Prolonged standing on your feet increases blood pressure in the lower extremities and its stagnation in the veins, thereby reducing the elasticity of the walls of blood vessels.

Signs and symptoms of hemorrhoids in pregnant women

During this period they are no different from:

• The appearance of blood after defecation on toilet paper or on the walls of the toilet (typical of the later stages of the disease)
• Blood streaks in stool
• Pain, itching and irritation of the anus
• Inflammation and prolapse of hemorrhoids
• With internal hemorrhoids, a foreign object is felt in the anus

Such signs and symptoms may vary in intensity, intensifying as the disease progresses.

Development of hemorrhoids

The negative factors described above cause dilation of the blood vessels of the rectum (hemorrhoidal plexus). As the end of pregnancy approaches, the stretching of the veins increases, their walls lose elasticity, which leads to the appearance of bulges.

From this moment on, hemorrhoids are assigned the first stage of development, in which the nodes are in the lumen of the rectum, without falling out of the anus. As the disease progresses, hemorrhoids enlarge and prolapse from the anus. Similar processes are characteristic of the disease at the second stage, and their difference from the last stage of hemorrhoids is independent or manual reduction into the anus.

Such processes are accompanied by increased pain, itching, and increased bleeding. If left untreated, blood loss can lead to anemia.

How to treat hemorrhoids in pregnant women

During this period, only a doctor should prescribe treatment, since self-medication can harm the child.

When you come to see a specialist, first of all, a diagnosis is carried out, which includes:

• Patient Interview
• Clarifying bothersome symptoms
• Finger examination
• Instrumental research
• Blood test research

Based on the results obtained, the doctor prescribes the necessary treatment. Most often, drug therapy or folk remedies for hemorrhoids are prescribed, which will help relieve pain and reduce discomfort.

It is better to postpone the immediate removal of hemorrhoids (using minimally invasive or surgical methods) until the postpartum period, since any interventions can cause harm to the baby.

Treatment of hemorrhoids in pregnant women

It depends on the stage of the disease. The initial (asymptomatic) stage can be treated quite effectively by adjusting the diet, changing lifestyle and hygiene procedures.

The following recommendations should be followed to prevent the onset of the disease:

• Normalization of stool as a way to prevent constipation. Since hemorrhoids in pregnant women often occur due to thickening of stool, as a preventative measure you need to pay attention to your diet, including foods containing fiber (cereals, fruits, vegetables, prunes, cereals). Meat, fatty and spicy foods, and coffee are not recommended. Lactic acid products will help digestion.
• Hygiene of the anus, which is an important way to prevent hemorrhoids. For this purpose, you should wash your anus after each bowel movement, and use toilet paper only in extreme cases.
• Don't sit in one place, walk more in the fresh air.
• Avoid hypothermia and do not sit on a cold surface.

If symptoms characteristic of hemorrhoids appear (bleeding, pain and itching), various medications of local and system-wide action are added to the mandatory preventive measures.

As a rule, topical remedies for hemorrhoids are used for pregnant women to minimize the effects of drugs on the child’s body:

• Heparin ointment that eliminates inflammation and hematomas.
• Vishnevsky ointment with a pronounced anti-inflammatory effect. Before using it, you need to take baths with a solution of potassium permanganate for 3 days, and only after that lubricate the anus.
• Homeopathic ointment for hemorrhoids for pregnant women is most preferable, since its action is based on the use of vegetable oils.
• Posterizan, which has regenerating properties, thanks to which the healing of cracks and wounds is accelerated and immunity is increased.
• Various will eliminate pain, itching and discomfort in the anus. By softening feces, they prevent constipation and heal damaged rectal mucosa.

Folk remedies are no less effective for hemorrhoids:

• Garlic with vegetable oil. To obtain a remedy, you need to boil several cloves of garlic in oil until they are completely charred, then chop them and lubricate the anus with the resulting mixture before going to bed.
• A decoction of chamomile, celandine and St. John's wort, taken in a 1:1:1 ratio, is poured with a small amount of water and, after cooling, used as a lotion.
• Mix honey and cinnamon in a 1:1 ratio and lubricate the anus, after washing it with laundry soap.

Although they are safe during pregnancy, you should consult your doctor before using them. This is due to the uniqueness of each case of bearing a child and the body’s reaction to various medications, so the same drug can both help and harm the mother and baby.

Treatment of late stages of hemorrhoids involves the use of surgical techniques. But, as a rule, they are resorted to after childbirth.

The exceptions are the following complications:

• Infringement of the node
• Acute inflammation
• Necrosis of the node, etc.

Thus, if hemorrhoids appear in pregnant women, the doctor should tell you what to do in this case, since during this period there are a number of restrictions, taking into account which, no harm will be caused to the baby during the treatment of the expectant mother.

During pregnancy, a woman's body undergoes great changes. Hormonal imbalance and significant stress cause exacerbation of chronic diseases, among which hemorrhoids occupy one of the first places. The disease requires adequate therapy to avoid complications. But not every method is safe for the unborn child. Therefore, external hemorrhoids during pregnancy are treated carefully, with approved medications, under the supervision of a doctor.

Anatomy of hemorrhoids during pregnancy

External hemorrhoids during pregnancy: main causes

Hemorrhoidal disease is an enlargement and inflammation of the veins of the rectum with the formation of nodes. The pathology may affect the internal cavity of the organ or the external tissues of the anus. The most common diagnosis of external hemorrhoids in pregnant women is the formation and enlargement of nodes in the subcutaneous vessels located on the outside of the anus. The disease can be acute, that is, it can occur against the background of an “interesting situation” or worsen due to physiological changes in the body.

Provoking factors in this period are:

• congenital weakness of the vascular walls of the intestine;
• hereditary venous insufficiency;
• disturbance of blood flow in the pelvic organs;
• pressure caused by the growing fetus on nearby vessels;
• congestion in the pelvic area due to low physical activity;
• disturbance of digestion and intestinal motility due to a sharp change in taste preferences;
• problems with stool, constipation, traumatic mucous membranes;
• poor circulation due to severe toxicosis, swelling, high blood pressure;
• concomitant chronic heart and vascular diseases.

External hemorrhoids during pregnancy must be treated; they bring a lot of discomfort and worsen the woman’s difficult condition. After all, untreated pathology is fraught with complications in the form of thrombosis, infection, purulent inflammation of the perianal area. Such conditions are dangerous not only for the mother, but also for the unborn child.

Possible complication of external hemorrhoids during pregnancy

How do hemorrhoids occur during pregnancy: symptoms

Hemorrhoids are a very insidious disease. At the beginning of its development, it can be practically asymptomatic, with mild discomfort, which few people pay attention to. As the pathology develops, painful symptoms increase, causing the woman a lot of trouble.

External hemorrhoids most often occur in pregnant women:

• a feeling of heaviness, a foreign body in the anus;
• feeling of incomplete bowel movement;
• permanent defecation disorders (constipation, diarrhea);
• itching, burning, pain during bowel movements;
• spontaneous pain in the anorectal area due to prolonged sitting, sudden changes in body position;
• increased painful sensations while walking, coughing, sneezing;
• weeping cracks in the perianal area;
• slight bleeding on toilet paper or underwear (massive bleeding in the external form of the disease is rare);
• painful lumps in the anus upon superficial palpation;
• irritation and inflammation of the skin around the anus;
• general malaise, weakness, irritability, poor sleep and appetite.

External hemorrhoids and pregnancy are frequent companions. Therefore, you need to pay attention to even the slightest discomfort in the anus and not delay a visit to a gynecologist or proctologist. In the acute form, when the clinical picture develops rapidly and is very painful, immediate treatment is indicated. Advanced pathology without proper therapy is greatly complicated upon the onset of childbirth and in the postpartum period, which should not be allowed under any circumstances.

External hemorrhoids during pregnancy and features of its treatment

Treatment of external hemorrhoids during pregnancy with effective ointments

Conservative therapy is considered the safest and most effective way to treat hemorrhoids in pregnant women. The attending physician, based on the woman’s complaints, and most importantly, taking into account her “interesting situation,” will select an effective treatment that will not harm the unborn child. Most often, the external form of the disease is treated with ointments, gels and creams. Medicines in this form have virtually no systemic or embryotoxic effects.

Read also

Bleeding from the anus during pregnancy and after childbirth

How to treat external hemorrhoids during pregnancy:

Fleming's ointment.

Antihemorrhoidal remedy based on natural ingredients - aesculus, calendula, witch hazel, menthol. The herbal composition is absolutely safe for women, provided there are no allergies. When the pathology worsens, the nodes are lubricated with ointment several times a day until the painful symptoms are relieved. The drug relieves swelling and inflammation, dries out weeping cracks, and produces some analgesic and cooling effect.

"Levomekol".

How to use Levomekol for external hemorrhoids

External hemorrhoids during pregnancy are treated with this cream in short courses, and always as prescribed by a specialist. The combined composition of methyluracil and chloramphenicol quickly relieves inflammation, heals erosions, and relieves discomfort. Apply to the damaged area once a day, preferably before bedtime and after hygiene procedures.

"Bezornil."

An anesthetic ointment that effectively analgeses inflamed nodes. Additionally, it helps cope with bleeding, swelling, itching, and cracks. A semi-natural composition based on pearls, amber, borneol, calamine has an antiseptic and astringent effect. Apply morning and evening for 10 days.

Vishnevsky ointment.

A simple antihemorrhoidal remedy with a minimum of contraindications. Approved for use in pregnant women at any stage. Effectively disinfects, heals, regenerates tissue, reduces the intensity of the inflammatory process, eliminates itching and soreness. Can be used for a long time in the form of compresses on the anus. It is possible to be allergic to the birch tar, castor oil, and xeroform contained in the liniment.

“Posterized.”

Successfully treats external hemorrhoids in pregnant women without causing adverse reactions. It has pronounced anti-inflammatory, reparative, analgesic, and immunomodulatory activity. Heals damaged mucous membranes and tissues, prevents the spread of harmful microorganisms. For a lasting effect, it is enough to rub a small amount of ointment into the painful area twice a day for 4-5 days.

Pasteurizan - treatment of hemorrhoids during pregnancy

"Heparin ointment."

A potent drug based on heparin. Prevents thrombosis of nodes and helps to dissolve existing seals. The anesthetic contained in the composition additionally anesthetizes and removes unpleasant symptoms. During pregnancy, it is used according to strict indications, only in the 2nd and 3rd trimester. The treatment regimen is selected individually.

We figured out how to cure external hemorrhoids during pregnancy. It is important to use ointments with caution, having first studied the instructions and consulted with a doctor.

Treatment of external hemorrhoids during pregnancy with suppositories

For the treatment of hemorrhoidal disease, the most effective are drugs in the form of rectal suppositories. They are gentle and quickly penetrate the mucous membrane. But during pregnancy they are not used so often due to possible absorption into the bloodstream and through the placental barrier. The doctor selects a suitable and safe drug according to individual indications.

Read also

Suppositories with Papaverine during pregnancy

How to cure external hemorrhoids during pregnancy with suppositories:

"Ichthyol."

Suppositories for topical use, the basis of which is a natural component - ichthyol. They have anti-inflammatory, analgesic, and antiseptic effects, while simultaneously improving blood supply to the pelvic organs. Prescribed to pregnant women with caution, under constant medical supervision. Directions for use: insert 1 suppository into the anus per day for a week. If necessary, the course of treatment can be extended or repeated.

Suppositories with ichthyol for hemorrhoids

"Natalsid."

Suppositories approved for use during pregnancy under medical supervision. The active ingredient – ​​sodium alginate – helps cope with bleeding and inflammation. Heals cracks and wounds, stimulates the process of regeneration of the mucous membrane and tissues of the rectum. It is administered rectally 2 times a day for no more than 14 days.

"Hepatrombin G".

A drug that contains the anticoagulant heparin and the synthetic glucocorticoid prednisolone. Relieves inflammation, resolves thrombosed nodes, improves the condition of veins, removes itching, swelling, improves blood flow, and relieves pain. The active substances slightly penetrate the bloodstream, so the product is intended for the treatment of hemorrhoids during late pregnancy (after consulting a doctor). The treatment regimen is similar to Natalsid.

Rectal suppositories during pregnancy are used exclusively as prescribed by a doctor in short courses. They are especially effective for mixed forms of hemorrhoids, which are characterized by simultaneous inflammation of internal and external nodes with significant pain.

External hemorrhoids in pregnant women: treatment with traditional methods

Traditional medicine has a huge number of recipes for hemorrhoids. Some of them can be safely used by women carrying a child. The natural composition of such products is in many cases safer than pharmaceutical drugs, but at the same time is not inferior in effectiveness.

Treatment of hemorrhoids during pregnancy

External hemorrhoids during pregnancy - how to treat at home:

1. An herbal sitz bath helps reduce inflammation, discomfort and soreness. A decoction is made from calendula, chamomile, St. John's wort and oak bark, cooled, and poured into a wide bowl. You need to sit in it so that the anus is covered with water. The procedure is carried out daily until relief occurs.
2. An ice compress on the anus eliminates pain and stops bleeding. A piece of ice is wrapped in a clean cloth and applied to the painful area for 20 seconds. Can be repeated several times.
3. Raw potatoes are a woman’s first aid for discomfort in the perianal area. One peeled and well-washed fruit is grated on a fine grater. The pulp is wrapped in gauze and applied to the anus for 10 minutes. This compress is made in the morning and evening with freshly cooked potatoes. Similar lotions are prepared from raw beets.
4. Inflamed and swollen nodes are lubricated with natural honey, propolis, mumiyo, sea buckthorn oil, medicinal tar, and aloe juice. The effect of such ointments is not inferior to pharmaceutical ones.
5. Rowan will relieve burning, pain and itching. Fresh berries are ground into a paste, mixed with a few drops of sea buckthorn (olive) oil, and laid out on a clean cotton cloth. The compress is applied to the swollen nodes several times a day.
6. Herbal lotions work well against inflammation of external nodes. The decoction is prepared from 2 tbsp. tablespoons of sage, calendula, knotweed, chamomile, wormwood. The mixture is brewed in a liter of water, cooled and filtered. A piece of gauze is soaked generously in liquid and applied to the painful area overnight.

Despite all the safety of folk remedies, their use must be agreed with a doctor. The most effective option for getting rid of an unpleasant illness during pregnancy is complex therapy based on special antihemorrhoidal components and home methods. Don't forget about proper nutrition, moderate physical activity and good mood.

External hemorrhoids during pregnancy: reviews from women

Svetlana, 22 years old: “I had external hemorrhoids during pregnancy, but I didn’t know how to treat it until the doctor prescribed Fleming’s ointment. I got rid of terrible discomfort for a long time. I returned to the miracle ointment after giving birth.”

Hemorrhoids can be of 2 types - internal and external. Symptoms of internal hemorrhoids include discomfort during bowel movements and bloody discharge from the anus. As the nodes increase, there is a feeling of a foreign body in the rectum, pain during bowel movements, itching and burning in the anus. With further growth of hemorrhoids, the disease becomes external, which is characterized by the appearance of lumps around the anus, severe itching and burning in the rectum, pain during bowel movements, and profuse bleeding after each bowel movement.

Treatment of hemorrhoids during pregnancy

The use of medications for the treatment of hemorrhoids during pregnancy should be discussed with a doctor, as they can have a negative effect on the fetus or the uterus. Drugs approved for use in pregnant women include Detralex and Ginkor Fort tablets (only in the second and third trimesters).

You can use suppositories with sea buckthorn oil, which have a wound-healing effect, suppositories “Neo-Anuzol” (astringent and disinfectant), “Posterizan” (immunomodulatory), “Relief” (decongestant and hemostatic), “Natalsid” (hemostatic and anti-inflammatory). To lubricate the external nodes, ointments are used: “Posterizan”, “Bezornil”, “Levomekol”, “Fleming Ointment”, “Troxevasin”.

It is necessary to maintain hygiene and rinse the anus with cool water every day after defecation. Water not only removes impurities, but also tones blood vessels, improving venous blood flow. If you have hemorrhoids, your diet should avoid foods that cause constipation. It is necessary to include in the diet oatmeal, rice and buckwheat porridge, bran, fermented milk products, fruits, and vegetables containing coarse crude fiber.

Folk remedies for the treatment of hemorrhoids

In consultation with a doctor, they use traditional medicine, many of which have no contraindications. Potato candles are effective. They need to be cut from peeled raw potatoes. They should resemble rectal suppositories in shape and size. A potato suppository is inserted into the anus before bedtime.

For external hemorrhoids, lotions with sea buckthorn oil are used. To do this, a soft cloth or bandage is rolled into 4-5 layers, moistened with oil and applied to the anus. Warm baths with garlic or onion peels also help. For external and internal hemorrhoids, you can use a natural ointment made from sea buckthorn oil and honey. It is inserted into the rectum, and the nodes that come out are also lubricated.

Related article

Hemorrhoids are called varicose veins of the rectum and anus. It can be internal or external. The development of hemorrhoids is promoted by carrying heavy loads, sedentary work, constipation, pregnancy, etc. In this case, overflow and stagnation of blood occurs in the veins of the rectum and pelvis and increased pressure on the venous wall. It manifests itself as a feeling of awkwardness and itching in the anus, and later – pain. Unpleasant sensations intensify after lifting weights, eating spicy food and alcohol.

You will need

• - mullein flowers;
• - alum (pharmaceutical preparation);
• - Glauber's salt
• - knotweed;
• - sage;
• - chamomile;
• - honey

Instructions

Traditional healers have long been treating according to this method. Boil 2 liters of water and dissolve 200 grams of alum in it. Pour into a bucket, and cover the bucket with a wooden lid in which a hole about 5 cm in diameter has been cut. Sit on a bucket and heat it over the alum steam until the steam comes out. After the procedure, lubricate the anus with Vaseline and drink (1 tablespoon of Glauber's salt per glass of water). Warm up once a week. Course - 3-4 times.

Knotweed has been used to treat hemorrhoids for a long time. Take a glass of knotweed seeds, grind them into powder and mix with an equal amount of honey. Take 1 tablespoon of the mixture with water 3 times a day 30 minutes before meals.

Drinking knotweed juice is also beneficial. Grind the green mass of knotweed and squeeze out the juice. Add 20% 40% alcohol for preservation. Drink a tablespoon three times a day.